JANNIE TACKETT (LPC) – Professional Counselor, NPI 1124224035
Professional Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
640 MENTAL HEALTH COUNSELOR in AR
Provider Addresses for JANNIE TACKETT (LPC)
101 S Church St Ste 201
Jonesboro, AR 724012994
Phone: (870) 613-1310
Type: Location
PO BOX 444
BAY, AR 724110444
Phone: (870) 613-1310
Type: Mailing
3305 E HIGHLAND DR STE B
JONESBORO, AR 724016491
Phone: (870) 520-5015
Fax: (870) 520-5015
Type: Location
208, Cobean Boulevard, Lake City, Craighead County, Arkansas, 72437, United States
LAKE CITY, AR 72437
Phone: (870) 819-8232
Fax: (877) 415-1647
Type: Mailing
2809 FOREST HOME RD
JONESBORO, AR 724015320
Phone: (866) 972-1268
Type: Mailing
809 W MAIN ST STE C-D
TRUMANN, AR 724722611
Phone: (870) 483-0068
Fax: (870) 483-0066
Type: Location
101 S CHURCH ST STE 201
JONESBORO, AR 724012994
Phone: (870) 613-1310
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-02-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240220001066 | I | Mental Health Counselor | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 72401)
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